[Secondary and residual choledocholithiasis. Our experience]

Rev Esp Enferm Apar Dig. 1989 Feb;75(2):127-34.
[Article in Spanish]

Abstract

A retrospective study was made of 780 patients who underwent surgery of the biliary tract for lithiasis between 1973 and 1984; of them, 110 (14.1%) presented secondary choledocholithiasis and 14, residual choledocholithiasis. The decade of highest incidence of choledocholithiasis was 60 to 70 years; the proportion of women-men was 2:1. The predominant symptom was biliary colic, which occurred in 99% of patients; jaundice appeared in 65% of cases. In 5.6% of patients choledocholithiasis was complicated with suppurative cholangitis. The operation most frequently practiced was choledochotomy with extraction of calculi and closure on a Kehr tube, performed in 50% of patients, followed by transduodenal sphincteropapillotomy in 31% of patients. In 32 patients complications occurred during the immediate postoperative period, representing a morbidity of 22.5% and a mortality of 3.2%. The most frequent complications were of infectious nature.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Choledochostomy / mortality
  • Female
  • Gallstones / etiology
  • Gallstones / mortality
  • Gallstones / surgery*
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications
  • Retrospective Studies
  • Sphincterotomy, Transduodenal / mortality